OTOLARYNGOLOGY OPERATIVE REPORT

Date of operation: @TODAY@

Surgeon:  William Morrel, M.D.

Preoperative diagnosis: Oropharyngeal hemorrhage

Postoperative diagnosis:  Oropharyngeal hemorrhage

Procedure:  Control of oropharyngeal hemorrhage

Anesthesia: General via oral endotracheal tube

Clinical History: ***

Findings: ***

Description of Procedure:

The patient was anesthetized under general anesthesia and intubated orally without difficulty by the anesthesia team.  Eyes were protected by tape. Eyes were further protected by a head drape and the oral cavity, oropharynx, and nasopharynx were exposed with a Crowe-Davis mouth gag taking care to protect the teeth.  FiO2 was confirmed to be less than 35%. The right and left tonsillar fossae were examined along with the nasopharynx***.  Clot was removed and any areas of bleeding were treated with suction Bovie.  The findings are listed above.  The patient was left down from suspension and the neck rubbed for 30 seconds before repeat examination of the oropharynx to ensure hemostasis.

The stomach was suctioned with an OG tube, and the nose and nasopharynx were gently irrigated with saline with care taken to prevent any aspiration.  Hemostasis was verified.  The mouth gag was removed.  The patient was allowed to emerge from general anesthesia and was transported to the recovery room, in stable condition, having tolerated the procedure well.

Specimens: None

Complications:  None

Blood Loss: ***

Disposition: ***

---
William Morrel, MD
Raleigh Capitol ENT-- Head and Neck Surgery
919-787-1374 (office)